How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $33.88 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $14.79 | Professional | 26 · Professional part | $9.33 | $11.48 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $23.99 | $29.51 | $37.15 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $95.50 Median $213.80 Typical High $251.19 | Facility | None | $95.50 | $213.80 | $251.19 |
BCBS Rhode Island Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $37.15 | $50.12 | $77.62 |
BCBS Rhode Island Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $13.18 | $19.95 |
BCBS Rhode Island Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.90 Typical High $36.31 | Professional | TC · Technical part | $25.70 | $30.90 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $323.59 Typical High $575.44 | Facility | None | $141.25 | $323.59 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $47.86 | $60.26 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $15.85 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $40.74 | $44.67 | $56.23 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $67.61 | Professional | None (both parts) | $32.36 | $39.81 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $12.02 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $29.51 | $46.77 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $8.13 | $8.13 |
Where Rhode Island sits
The same service costs 12.6 times more in Vermont than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Rhode Island· 20th of 51
$50.12
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.